Serviços Personalizados
Journal
Artigo
Indicadores
- Citado por SciELO
- Acessos
Links relacionados
- Similares em SciELO
Compartilhar
Acta ortopédica mexicana
versão impressa ISSN 2306-4102
Resumo
NIETO-LUCIO, L. et al. Closed reduction of the sacroiliac joint and acetabular reconstruction in a pediatric patient with a Torode/Zieg IVd unstable pelvic fracture. Case report. Acta ortop. mex [online]. 2015, vol.29, n.6, pp.323-327. ISSN 2306-4102.
Background:
High-energy severe pelvic injuries in pediatric patients are rare, particularly those associated with acetabular fractures. They are life threatening injuries.
Method:
We report the case of a pediatric patient with a diagnosis of a Torode/Zieg IVd pelvic fracture. The clinical and radiographic data was reviewed retrospectively.
Clinical case:
Male, 12 year-old polytraumatized patient with an unstable pelvic fracture who underwent multidisciplinary treatment. He was stabilized in the intensive care unit; the general surgery service performed laparotomy; orthopedic management consisted of closed reduction and internal fixation of the sacroiliac fracture-dislocation and later of open reduction and internal fixation of the right acetabular fracture. The patient´s clinical course was appropriate.
Conclusions:
A diagnosis of a type IVd Torode/Zieg fracture is an absolute indication for surgical management. A multidisciplinary approach is essential to save the life of patients with unstable pelvic lesions. This case shows the complexity of an unstable pelvic fracture associated with multiple injuries, due to a rather infrequent mechanism of injury (being crushed by a tree) in a patient with an immature skeletal system.
Palavras-chave : Acetabular fracture; sacroiliac joint; multiple trauma; internal fixation; pediatric patient.